| Code | Description | Claims | Beneficiaries | Total Paid |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
15,997 |
2,484 |
$1.04M |
| T2003 |
Non-emergency transportation; encounter/trip |
6,119 |
578 |
$381K |
| A0100 |
Non-emergency transportation; taxi |
2,798 |
387 |
$75K |
| S0215 |
Non-emergency transportation; mileage, per mile |
1,610 |
640 |
$41K |
| A0130 |
Non-emergency transportation: wheelchair van |
532 |
83 |
$22K |
| T2007 |
Transportation waiting time, air ambulance and non-emergency vehicle, one-half (1/2) hour increments |
44 |
38 |
$807.00 |